PMID- 16100341 OWN - NLM STAT- MEDLINE DCOM- 20051006 LR - 20081120 IS - 0003-4967 (Print) IS - 1468-2060 (Electronic) IS - 0003-4967 (Linking) VI - 64 IP - 9 DP - 2005 Sep TI - Potential relationship between herpes viruses and rheumatoid arthritis: analysis with quantitative real time polymerase chain reaction. PG - 1357-9 AB - OBJECTIVE: To determine whether the human herpes viruses, cytomegalovirus (CMV), Epstein-Barr virus (EBV), and human herpesvirus 6 (HHV-6), are detectable in serum and peripheral blood mononuclear cells (PBMCs) of patients with rheumatoid arthritis (RA). METHODS: 133 PBMC samples (61 RA, 72 healthy donors) and 136 serum samples (59 RA, 77 healthy donors) were analysed by quantitative real time polymerase chain reaction for DNA prevalence and viral load of HHV-6, EBV, and CMV. RESULTS: For PBMC samples significant differences were found for EBV in DNA prevalence (56% in RA v 33% in controls, p = 0.009) and viral load (copies/microg DNA 0-592.3 for RA v 0-40.4 for controls, p = 0.001). For serum samples a significant difference was found for HHV-6 DNA prevalence (10% in RA v 0% in controls, p = 0.006) and viral load (copies/microg DNA 0-529.1 for RA v 0 for controls, p = 0.007). CONCLUSIONS: Herpes viruses may have a role in RA, although alternative explanations are possible: (a) defects in cellular immunity in patients with RA may result in a relatively high viral load; (b) patients with RA may be more prone to infection/reactivation. The usefulness of monitoring the DNA viral load in patients with RA is questioned by these data. FAU - Alvarez-Lafuente, R AU - Alvarez-Lafuente R AD - Service of Rheumatology, Hospital Clinico San Carlos, Profesor Martin, Lagos s/n, 28040 Madrid, Spain. FAU - Fernandez-Gutierrez, B AU - Fernandez-Gutierrez B FAU - de Miguel, S AU - de Miguel S FAU - Jover, J A AU - Jover JA FAU - Rollin, R AU - Rollin R FAU - Loza, E AU - Loza E FAU - Clemente, D AU - Clemente D FAU - Lamas, J R AU - Lamas JR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Ann Rheum Dis JT - Annals of the rheumatic diseases JID - 0372355 RN - 0 (Antirheumatic Agents) RN - 0 (DNA, Viral) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antirheumatic Agents/therapeutic use MH - Arthritis, Rheumatoid/drug therapy/*virology MH - Cytomegalovirus/isolation & purification MH - DNA, Viral/analysis MH - Female MH - Herpesviridae/*isolation & purification MH - Herpesvirus 4, Human/isolation & purification MH - Herpesvirus 6, Human/isolation & purification MH - Humans MH - Leukocytes, Mononuclear/virology MH - Male MH - Middle Aged MH - Polymerase Chain Reaction/methods MH - Sex Factors MH - Viral Load PMC - PMC1755640 EDAT- 2005/08/16 09:00 MHDA- 2005/10/07 09:00 PMCR- 2008/09/01 CRDT- 2005/08/16 09:00 PHST- 2005/08/16 09:00 [pubmed] PHST- 2005/10/07 09:00 [medline] PHST- 2005/08/16 09:00 [entrez] PHST- 2008/09/01 00:00 [pmc-release] AID - 64/9/1357 [pii] AID - 10.1136/ard.2004.033514 [doi] PST - ppublish SO - Ann Rheum Dis. 2005 Sep;64(9):1357-9. doi: 10.1136/ard.2004.033514.